A nurse is planning to administer a tuberculin skin test to a client who has had an exposure to tuberculosis. Which of the following actions should the nurse plan to take?
Inject 0.3 to 0.5 mL of the solution.
Select an injection site that is free of scar tissue.
Hold the needle at a 30° angle during injection.
Massage the site following the injection.
The Correct Answer is B
A. Inject 0.3 to 0.5 mL of the solution: The typical volume for a tuberculin skin test is 0.1 mL.
B. Select an injection site that is free of scar tissue: Scar tissue can interfere with the reading of the tuberculin skin test, so a site free of scars should be selected.
C. Hold the needle at a 30° angle during injection: The needle should be held at a 5–15° angle for intradermal injections.
D. Massage the site following the injection: Massaging the site is not recommended as it could affect the accuracy of the test.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Weight gain: Methimazole is used to treat hyperthyroidism, and effective treatment often leads to weight gain, as metabolism normalizes.
B. Decreased menstrual flow: Methimazole can affect menstrual cycles, but decreased flow is not an indicator of effectiveness.
C. Clear breath sounds: This is not related to the effectiveness of methimazole.
D. Increased libido: Changes in libido are not a direct indicator of methimazole’s effectiveness.
Correct Answer is A
Explanation
A. Quadrivalent human papillomavirus: HPV vaccine is recommended for children aged 11-12 years to prevent certain types of HPV-related cancers.
B. Rotavirus: This vaccine is given to infants; it is not indicated for an 11-year-old.
C. Pneumococcal conjugate: This is typically completed in early childhood; not part of the routine schedule for an 11-year-old.
D. Hepatitis B: Typically administered during infancy, unless the child is unvaccinated or at high risk.
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